ICF/IID Waivers

This section specifically discusses the
Intermediate Care Facility for Individuals with Intellectual
Disabilities (ICF/IID) Waivers, formerly referred to as the DD
Waivers. These waivers are for children and adults with an
intellectual disability, and assist a person to:

Become involved in the community where he/she lives and
works;

Develop social relationships in the person's home and work
communities;

Develop skills to make decisions about how and where the person
wants to live;

The Community Integration and Habilitation Waiver provides
services that enable individuals to remain in their homes or in
community settings and assists those people who transition from
state-operated facilities or other institutions into community
settings. This waiver is designed to provide supports for persons
to gain and maintain optimum levels of self-determination and
community integration while allowing flexibility in the provision
of those supports. This waiver includes individuals who were
previously receiving services on the Autism Waiver. Services
available on the CIH Waiver

Who is Eligible?

You must meet waiver eligibility and Medicaid eligibility
guidelines in order to be eligible for a Medicaid
waiver. To be eligible you must be:

Eligible for intellectual disability services;

Diagnosed as having an intellectual disability;

Meet ICF/IID level of care;

Medicaid eligible based on 300% of maximum SSI amount (parental
income for children under 18 years of age is disregarded)

What is ICF/IID Level of Care?

To be medically eligible for the waiver program, an individual
must meet the required "level of care." Level of care is the
minimum need an individual must have to be considered eligible for
the waiver. Level of care is evaluated both when you apply and then
at least once a year after that. For the purposes of ICF/IID level
of care a person must have a disability that is attributable
to:

Intellectually disabled, autism, epilepsy, cerebral palsy or a
condition (other than mental illness) similar to an intellectual
disability that results in impairment of functioning similar to
that of a person who is intellectually disabled;

Originates before the person is twenty-two (22) years of
age;

Has continued or is expected to continue indefinitely;
and

Constitutes a substantial disability to the person's ability to
function normally in society due to substantial functional
limitations in three of the six major life areas: self-care,
receptive and expressive language, learning, mobility,
self-direction, and capacity for independent living.

The disability must result in the person requiring 24-hour
supervision. (For purposes of the waiver, the person must require
access to 24-hour assistance, as needed. This can be provided
through emergency beepers, telephone systems or in other ways.) The
person must also need lifelong, or for an extended duration, an
aggressive program of both specialized and generic services,
individually planned and coordinated by an interdisciplinary team,
and intended to promote greater self-determination and functional
independence.

Eligibility Summary

The tables below show the current eligibility requirements for
waiver. Notice that members must meet both financial and medical
need criteria.